Related Experiment Video
Updated: Jan 17, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Two-Staged Bronchoscopic Lung Volume Reduction: A Single US Academic Center Retrospective Analysis Demonstrating
Chih-Huan Lu1,2, Brooks T Kuhn1,2, Michael Schivo1,2
1Division of Pulmonary, Critical Care, & Sleep Medicine University of California Davis School of Medicine Sacramento California USA.
Abstract:
Staged Bronchoscopic lung volume reduction (BLVR) has been proposed to reduce the risk of pneumothorax in patients with emphysema, though evidence to date is limited. We present a retrospective series from a single US academic centre, evaluating pneumothorax and other complications following staged BLVR. Seventeen patients underwent staged BLVR at our centre. Two illustrative cases are presented: (1) a case of pneumothorax post-staged BLVR managed conservatively without chest tube insertion, and (2) a patient who initially developed pneumothorax after single-stage BLVR, subsequently completing staged BLVR without complications. Overall, the pneumothorax rate within 45 days was 11.8%, and none of the events required tube drainage or valve removal. This retrospective analysis suggests that staged BLVR may reduce the incidence of pneumothorax. Larger, randomised controlled trials are warranted to confirm these potential benefits.
Related Concept Videos
Pneumothorax-II
Clinical Manifestations:
Respiratory Volumes
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

